MEDICARE: LINDA ZIRNHELD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WP0808X	Psychiatric/Mental Health Registered Nurse	1033661	KY

General Provider Information

NPI Number	:	1003947888
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDA ZIRNHELD

Provider Business Mailing Address
First Line	:	101 W MUHAMMAD ALI BLVD
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40202-1423
Country	:	US
Telephone Number	:	502-589-8600
Fax Number	:	502-589-8771

Provider Business Practice Location Address
First Line	:	2105 CRUMS LN
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40216-4231
Country	:	US
Telephone Number	:	502-589-1100
Fax Number	:	502-589-8771

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/07/2007
Last Update Date	:	07/08/2007

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Directions to “ LINDA ZIRNHELD ” Practice Location

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